Patron's Plaza Brick Campaign 2016

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Select Your Brick

Please select your brick size. If you would like to purchase multiple bricks, please enter the total amount for all of the bricks ($250 for each 8"x8" brick and $150 for each 4" x 8" brick) in the "Total for multiple bricks" box. Text instructions: 4" x 8" brick includes 3 lines of engraving, 8" x 8" brick includes 6 lines of engraving. Each line is limited to 18 characters. Spaces are considered characters.

Select your brick:

$250 - 8'' x 8''

$150 - 4'' x 8''

Total for mulitple bricks:

$250 - 8'' x 8''

$150 - 4'' x 8''

Total for mulitple bricks:

Quantity of each brick size Enter text for a 4'' x 8'' brick: Enter text for a 8'' x 8'' brick:

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Billing Information

Payment method: Credit Card
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Card:

Cardholder First Name: Cardholder Last Name: Cardholder Email: Billing Address: City: State/Province: Zip Code: - Country:

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

E-Check Billing Information

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.

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